Table 5.
Incidence and Outcomes for Patient Cohort A (Early Recognition by the Sepsis CDS).a
| ICU | Mortality | LOS, days | Coded Diagnosis | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| n = 195 | n | (%) | n | (%) | n | (%) | Median [IQR] | n | (%) | |
| SIRS (severe) of a noninfectious origin or insult | 69 | (36) | 25 | (36) | 3 | (4) | 5.6 | [3.1-8.8] | 6 | (9) |
| Sepsis | 39 | (20) | 13 | (33) | 0 | (0) | 3.7 | [2.8-6.7] | 7 | (18) |
| Severe sepsis | 87 | (44) | 59 | (68) | 12 | (14) | 9.0 | [5.0-17.8] | 47 | (54) |
| Initial vitals and electrolyte results | ||||||||||
| ↑Shock index and ↑↓SIDa | 28 | (32) | 19 | (70) | 6 | (22) | 8.9 | [5.5-14.4] | 17 | (63) |
| Number of organs failed | ||||||||||
| One | 31 | (36) | 14 | (45) | 0 | (0) | 7.9 | [4.7-16.8] | 11 | (35) |
| Two | 33 | (38) | 27 | (82) | 7 | (21) | 9.3 | [5.4-19.9] | 22 | (67) |
| ≥Three | 23 | (26) | 18 | (78) | 5 | (22) | 10.2 | [5.8-15.9] | 14 | (57) |
| Types of organs failedb | ||||||||||
| Cardiovascular system | 76 | (87) | 57 | (75) | 12 | (16) | 9.9 | [5.3-18.2] | 43 | (57) |
| Tissue perfusion | 41 | (47) | 31 | (76) | 7 | (17) | 8.4 | [5.0-13.4] | 26 | (63) |
| Hepatic system | 31 | (36) | 20 | (65) | 4 | (13) | 13.2 | [6.0-19.8] | 19 | (61) |
| Renal system | 28 | (32) | 21 | (75) | 8 | (29) | 11.2 | [5.2-21.9] | 16 | (57) |
Abbreviations: CDS, clinical decision support; ICD-9-CM, International Classification of Diseases, Ninth Revision, Clinical Modification; ICU, intensive care unit; IQR, interquartile range; LOS, length of stay; SIDa, apparent strong ion difference; SIRS, systemic inflammatory response syndrome.
a
ICU admission anytime during hospitalization; mortality: in-hospital; a sepsis-related ICD-9-CM diagnosis code was assigned at discharge. SIDa indicates corrected SIDa.
b
Types of organs failed: multiple responses per patient possible.